Individual
KATRINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
201 N CHURCH ST, MEDICAL DEPT, WINSTON SALEM, NC 27101
(336) 917-7674
Mailing address
201 N CHURCH ST, MEDICAL DEPT, WINSTON SALEM, NC 27101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010850
NC
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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